# FIRSTLINES, TJS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447866462
- **Authorized official:** DR. TIMOITHY JAMES STORY MD (PHYSICIAN)
- **Authorized official phone:** (317) 814-4111

## Contact information

- **Practice address:** 11725 ILLINOIS ST STE 550, CARMEL, IN 46032-3009
- **Practice address phone:** (317) 814-4111
- **Practice address fax:** (317) 814-2923
- **Mailing address:** 11725 ILLINOIS ST STE 550, CARMEL, IN 46032-3009
- **Mailing address phone:** (317) 814-4111
- **Mailing address fax:** (317) 814-2923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/16/2020
- **Last updated:** 09/16/2020
